Organization
MICAH'S MANAGEMENT SERVICES
Active
Other names
Micah's Angels Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
PAULETTE L WASHINGTON (OWNER)
(704) 712-8454
Entity
Organization
Contact information
Practice address
1909 J N PEASE PL, SUITE 204, CHARLOTTE, NC 28262-4558
(704) 712-8454
(704) 532-4414
Mailing address
1909 J N PEASE PL, SUITE 204, CHARLOTTE, NC 28262-4558
(704) 712-8454
(704) 532-4414
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
251B00000X
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301861
—
NC
Enumeration date
01/23/2007
Last updated
01/28/2009
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